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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 7, 2022; 28(37): 5506-5514
Published online Oct 7, 2022. doi: 10.3748/wjg.v28.i37.5506
Published online Oct 7, 2022. doi: 10.3748/wjg.v28.i37.5506
Massive bleeding from gastric submucosal arterial collaterals secondary to splenic artery thrombosis: A case report
Alberto Martino, Francesco Paolo Zito, Raffaele Bennato, Luigi Orsini, Giovanni Lombardi, Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Marco Di Serafino, Luigia Romano, Department of General and Emergency Radiology, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Franco Maglione, Department of Radiology, Sanatrix Clinic, Napoli 80127, Italy
Alessandro Iacobelli, Department of Pathology, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Raffaella Niola, Department of Interventional Radiology, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Author contributions: Martino A was responsible for the conception of the paper, execution of the endoscopic procedures, drafting of the article, interpretation of the data and final approval of the article; Di Serafino M was responsible for conception of the paper, execution of the diagnostic radiological examinations, drafting of the article and final approval of the article; Zito FP was responsible for the conception of the paper, drafting of the article, interpretation of data and final approval of the article; Maglione F and Niola R were responsible for execution of the interventional radiological procedures, drafting of the article, interpretation of the data and final approval of the article; Bennato R, Orsini L and Iacobelli A were responsible for drafting of the article, interpretation of data and final approval of the article; Romano L and Lombardi G were responsible for the analysis and interpretation of data, revision of the manuscript for important intellectual content and final approval of the article.
Informed consent statement: Informed consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alberto Martino, MD, Staff Physician, Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, Via Antonio Cardarelli 9, Napoli 80131, Italy. albertomartinomd@gmail.com
Received: June 18, 2022
Peer-review started: June 18, 2022
First decision: July 11, 2022
Revised: July 17, 2022
Accepted: September 8, 2022
Article in press: September 8, 2022
Published online: October 7, 2022
Peer-review started: June 18, 2022
First decision: July 11, 2022
Revised: July 17, 2022
Accepted: September 8, 2022
Article in press: September 8, 2022
Published online: October 7, 2022
Core Tip
Core Tip: Gastric submucosal arterial collaterals (GSAC) secondary to splenic artery occlusion is an extremely rare cause of severe non variceal upper gastrointestinal bleeding. Herein, we describe a previously unreported case of massive bleeding from GSAC secondary to splenic artery thrombosis effectively treated by endoscopic mechanical hemostasis followed by endovascular embolization.